Patient Education. Transplant Services. For a liver transplant. Medical Log

Transcription

1 Patient Education Medical Log For a liver transplant Checking your vital signs (blood pressure, pulse, temperature, weight), every day and having lab tests done regularly are an important part of the post-transplant care of your liver. Problems with the liver transplant may show up as changes in your labs or vital signs. The Transplant Team watches closely for such changes so they can take action before problems get out of hand. At first, lab tests will be done quite often. As the function of your organ stabilizes, the tests and vital sign monitoring will be needed less often.

2 Medical Log Page 11-2 Vital Signs Record measured vital signs daily in your Medical Log. The vital signs you will need to check and keep a record of every day are blood pressure, pulse, temperature and weight. You may also be asked to keep a record of your blood sugar levels. Blood Pressure High blood pressure can be harmful to your health. Systolic (upper number) is the pressure created by the heart squeezing blood into your circulatory system. Diastolic (lower number) is when the heart relaxes between beats. Normal blood pressure is over Take your blood pressure twice a day or before taking any blood pressure medications and at other times as directed by your transplant coordinator or doctors. Obtain a blood pressure machine and, if possible, one that records both blood pressure and pulse. Check its accuracy with the one used by your doctor.

3 Page 11-3 Medical Log Pulse Your pulse rate, also known as your heart beat, is usually measured as beats per minute. Take your pulse in your wrist or neck or record the number from your blood pressure machine twice a day or before taking any blood pressure medications. Temperature Take your temperature at least twice daily and any time you feel ill with chills or fever. Normal body temperature is 98.6 degrees Fahrenheit. Report temperatures greater than 100 degrees Fahrenheit (38 degrees Centigrade) or any fever you ve had for more than a day to your doctor or transplant coordinator. A temperature conversion chart is provided on page Weight Weigh yourself every morning after going to the bathroom but before you eat breakfast. Sudden weight gain can mean your kidney function has decreased and you are retaining fluid. Rapid weight loss can be a sign of dehydration. Report rapid changes in your weight to your transplant coordinator or doctor.

4 Medical Log Page 11-4 Symptoms Just after your transplant, it is also helpful to record or take note of any unusual symptoms or feelings you may be having. Some symptoms may include: Flu-like feelings Nausea or vomiting Headaches Stomach cramps Muscle aches or pains Jaundice (skin or whites of eyes are yellow) Swelling, warmth, tenderness over transplant incision area Swelling of ankles or legs Decreasing amounts of urine Burning feeling upon urination Change in color or odor of urine Lab Tests Included is a list of common lab tests used by the Transplant Team to monitor the function of your liver. The normal range for each test is also listed. There is space in your Medical Log to record some of the common lab tests and enable

5 Page 11-5 Medical Log you to follow your own progress. What s normal for you may not be normal for someone else. Ask someone on the Transplant Team if you have questions about your lab values. Medications It is important to know and keep track of your medications. The best way to do this is to keep a written list. This helps the Transplant Team adjust your medications. Keep track of your medications with the profiles provided. Don t forget to include over-the-counter (OTC), dietary supplements, and herbal or natural medications. Please check with someone on the Transplant Team before taking any OTC, dietary supplements, and herbal or natural medications. Blood Sugar At the time of discharge, you may be required to check your blood sugar levels and inject insulin. Record your blood sugar levels and insulin dosing in your Medical Log. The Transplant Team uses this information to adjust your insulin dose, if needed. You may be referred to the Diabetes Care Center to manage your diabetes.

6 Medical Log Page 11-6 Vital Sign Record for Week to DATE TEMP WEIGHT Goal = BLOOD PRESSURE PULSE

7 Page 11-7 Medical Log Vital Sign Record for Week to DATE TEMP WEIGHT Goal = BLOOD PRESSURE PULSE

8 Medical Log Page 11-8 Vital Sign Record for Week to DATE TEMP WEIGHT Goal = BLOOD PRESSURE PULSE

9 Page 11-9 Medical Log Vital Sign Record for Week to DATE TEMP WEIGHT Goal = BLOOD PRESSURE PULSE

10 Medical Log Page Vital Sign Record for Week to DATE TEMP WEIGHT Goal = BLOOD PRESSURE PULSE

11 Page Medical Log Vital Sign Record for Week to DATE TEMP WEIGHT Goal = BLOOD PRESSURE PULSE

12 Medical Log Page Vital Sign Record for Week to DATE TEMP WEIGHT Goal = BLOOD PRESSURE PULSE

13 Page Medical Log Vital Sign Record for Week to DATE TEMP WEIGHT Goal = BLOOD PRESSURE PULSE

14 Medical Log Page Vital Sign Record for Week to DATE TEMP WEIGHT Goal = BLOOD PRESSURE PULSE

15 Page Medical Log Vital Sign Record for Week to DATE TEMP WEIGHT Goal = BLOOD PRESSURE PULSE

16 Medical Log Page Vital Sign Record for Week to DATE TEMP WEIGHT Goal = BLOOD PRESSURE PULSE

17 Page Medical Log Vital Sign Record for Week to DATE TEMP WEIGHT Goal = BLOOD PRESSURE PULSE

18 Medical Log Page Vital Sign Record for Week to DATE TEMP WEIGHT Goal = BLOOD PRESSURE PULSE

19 Page Medical Log Vital Sign Record for Week to DATE TEMP WEIGHT Goal = BLOOD PRESSURE PULSE

20 Medical Log Page Vital Sign Record for Week to DATE TEMP WEIGHT Goal = BLOOD PRESSURE PULSE

21 Page Medical Log Vital Sign Record for Week to DATE TEMP WEIGHT Goal = BLOOD PRESSURE PULSE

22 Medical Log Page Vital Sign Record for Week to DATE TEMP WEIGHT Goal = BLOOD PRESSURE PULSE

23 Page Medical Log Labs Log for Week to Date LABS Potassium Creatinine WBC/ANC Hct Platelets PT INR Billrubin AST ALT ALK PHOS GGT Albumin Tacrolimus Other

24 Medical Log Page Labs Log for Week to Date LABS Potassium Creatinine WBC/ANC Hct Platelets PT INR Billrubin AST ALT ALK PHOS GGT Albumin Tacrolimus Other

25 Page Medical Log Labs Log for Week to Date LABS Potassium Creatinine WBC/ANC Hct Platelets PT INR Billrubin AST ALT ALK PHOS GGT Albumin Tacrolimus Other

26 Medical Log Page Labs Log for Week to Date LABS Potassium Creatinine WBC/ANC Hct Platelets PT INR Billrubin AST ALT ALK PHOS GGT Albumin Tacrolimus Other

27 Page Medical Log Labs Log for Week to Date LABS Potassium Creatinine WBC/ANC Hct Platelets PT INR Billrubin AST ALT ALK PHOS GGT Albumin Tacrolimus Other

28 Medical Log Page Labs Log for Week to Date LABS Potassium Creatinine WBC/ANC Hct Platelets PT INR Billrubin AST ALT ALK PHOS GGT Albumin Tacrolimus Other

29 Page Medical Log Labs Log for Week to Date LABS Potassium Creatinine WBC/ANC Hct Platelets PT INR Billrubin AST ALT ALK PHOS GGT Albumin Tacrolimus Other

30 Medical Log Page Labs Log for Week to Date LABS Potassium Creatinine WBC/ANC Hct Platelets PT INR Billrubin AST ALT ALK PHOS GGT Albumin Tacrolimus Other

31 Page Medical Log Labs Log for Week to Date LABS Potassium Creatinine WBC/ANC Hct Platelets PT INR Billrubin AST ALT ALK PHOS GGT Albumin Tacrolimus Other

32 Medical Log Page Labs Log for Week to Date LABS Potassium Creatinine WBC/ANC Hct Platelets PT INR Billrubin AST ALT ALK PHOS GGT Albumin Tacrolimus Other

33 Page Medical Log Labs Log for Week to Date LABS Potassium Creatinine WBC/ANC Hct Platelets PT INR Billrubin AST ALT ALK PHOS GGT Albumin Tacrolimus Other

34 Medical Log Page Labs Log for Week to Date LABS Potassium Creatinine WBC/ANC Hct Platelets PT INR Billrubin AST ALT ALK PHOS GGT Albumin Tacrolimus Other

35 Page Medical Log Labs Log for Week to Date LABS Potassium Creatinine WBC/ANC Hct Platelets PT INR Billrubin AST ALT ALK PHOS GGT Albumin Tacrolimus Other

36 Medical Log Page Labs Log for Week to Date LABS Potassium Creatinine WBC/ANC Hct Platelets PT INR Billrubin AST ALT ALK PHOS GGT Albumin Tacrolimus Other

37 Page Medical Log Labs Log for Week to Date LABS Potassium Creatinine WBC/ANC Hct Platelets PT INR Billrubin AST ALT ALK PHOS GGT Albumin Tacrolimus Other

38 Medical Log Page Labs Log for Week to Date LABS Potassium Creatinine WBC/ANC Hct Platelets PT INR Billrubin AST ALT ALK PHOS GGT Albumin Tacrolimus Other

39 Page Medical Log Medication Profile Start Stop Medication Dose What Do I Directions Date Date Name and Size Use It For?

40 Medical Log Page Medication Profile Start Stop Medication Dose What Do I Directions Date Date Name and Size Use It For?

41 Page Medical Log Medication Profile Start Stop Medication Dose What Do I Directions Date Date Name and Size Use It For?

42 Medical Log Page Medication Profile Start Stop Medication Dose What Do I Directions Date Date Name and Size Use It For?

43 Page Medical Log Medication Profile Start Stop Medication Dose What Do I Directions Date Date Name and Size Use It For?

44 Medical Log Page Medication Profile Start Stop Medication Dose What Do I Directions Date Date Name and Size Use It For?

45 Page Medical Log Conversion Table: Fahrenheit ( F) to Centigrade ( C) C = ( F - 32) x 5 F = (1.8 x C) F C F C F C

46 Medical Log Page Conversion Table: Pounds (LB) to Kilograms (KG) KG LB KG LB KG LB

47 Page Medical Log KG LB KG LB KG LB

48 Medical Log Page Questions? Notes Your questions are important. Call your transplant coordinator during business hours Box N.E. Pacific St., Seattle, WA University of Washington Medical Center 06/2003 UH1914